# MIFAMILIA MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Prairie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477870202
- **Authorized official:** PETER J MALOUF DO (OWNER/PHYSICIAN)
- **Authorized official phone:** (214) 342-5757

## Contact information

- **Practice address:** 928 N BELT LINE RD, STE 200, GRAND PRAIRIE, TX 75050
- **Practice address phone:** (972) 314-1311
- **Practice address fax:** (972) 314-1315
- **Mailing address:** 9090 SKILLMAN, STE 200C, DALLAS, TX 75243-8259
- **Mailing address phone:** (214) 342-5757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | K0518 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010
